基本説明
The essays collected here provide an insightful picture of the deep moral, ethical, and scientific questions that must be addressed when sexual and social politics confront public health initiatives.
Full Description
In 2007, Texas governor Rick Perry issued an executive order requiring that all females entering sixth grade be vaccinated against the human papillomavirus (HPV), igniting national debate that echoed arguments heard across the globe over public policy, sexual health, and the politics of vaccination. Three Shots at Prevention explores the contentious disputes surrounding the controversial vaccine intended to protect against HPV, the most common sexually transmitted infection. When the HPV vaccine first came to the market in 2006, religious conservatives decried the government's approval of the vaccine as implicitly sanctioning teen sex and encouraging promiscuity while advocates applauded its potential to prevent 4,000 cervical cancer deaths in the United States each year. Families worried that laws requiring vaccination reached too far into their private lives. Public health officials wrestled with concerns over whether the drug was too new to be required and whether opposition to it could endanger support for other, widely accepted vaccinations. Many people questioned the aggressive marketing campaigns of the vaccine's creator, Merck & Co.
And, since HPV causes cancers of the cervix, vulva, vagina, penis, and anus, why was the vaccine recommended only for females? What did this reveal about gender and sexual politics in the United States? With hundreds of thousands of HPV-related cancer deaths worldwide, how did similar national debates in Europe and the developing world shape the global possibilities of cancer prevention? This volume provides insight into the deep moral, ethical, and scientific questions that must be addressed when sexual and social politics confront public health initiatives in the United States and around the world.
Contents
Acknowledgments
Introduction. A Cancer Vaccine for Girls? HPV, Sexuality, and the New Politics of Prevention
Vaccine Time Lines
Part I: The Known and the Unknown: Vaccination Decisions amid Risk and Uncertainty
Chapter 1. The Coercive Hand, the Benefi cent Hand: What the History of Compulsory Vaccination Can Tell Us about HPV Vaccine Mandates
Chapter 2. Gardasil: A Vaccine against Cancer and a Drug to Reduce Risk
Chapter 3. HPV Vaccination Campaigns: Masking Uncertainty, Erasing Complexity
Chapter 4. The Great Undiscussable: Anal Cancer, HPV, and Gay Men's Health
Chapter 5. Cervical Cancer, HIV, and the HPV Vaccine in Botswana
Part II: Girls at the Center of the Storm: Marketing and Managing Gendered Risk
Chapter 6. Safeguarding Girls: Morality, Risk, and Activism
Chapter 7. Producing and Protecting Risky Girlhoods
Chapter 8. Re- Presenting Choice: Tune in HPV
Part III: Focus on the Family: Parents Assessing Morality, Risk, and Opting Out
Chapter 9. Parenting and Prevention: Views of HPV Vaccines among Parents Challenging Childhood Immunizations
Chapter 10. Decision Psychology and the HPV Vaccine
Chapter 11. Nonmedical Exemptions to Mandatory Vaccination: Personal Belief, Public Policy, and the Ethics of Refusal
Chapter 12. Sex, Science, and the Politics of Biomedicine: Gardasil in Comparative Perspective
Part IV: In Search of Good Government: Eu rope, Africa, and America at the Crossroads of Cancer Prevention
Chapter 13. Vaccination as Governance: HPV Skepticism in the United States and Africa, and the North- South Divide
Chapter 14. Public Discourses and Policymaking: The HPV Vaccination from the Europe an Perspective
Chapter 15. HPV Vaccination in Context: A View from France
Notes on Contributors
Index
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